Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Swan Lake Living Services, LLC

Organization Developmentally Disabled Services Day Training Agency · NPI 1205796307

Swan Lake Living Services, LLC is a Developmentally Disabled Services Day Training Agency in Boise, Idaho. Registered with an NPI since 2025.

In the registry since
2025
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

106 N Latah St Unit D
Boise, ID 83706-2624
Phone: (208) 999-6555
Fax: (208) 473-4506
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Developmentally Disabled Services Day Training Agency (primary) Taxonomy 251C00000X

Record details

NPI number1205796307
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Adam Ali — Ceo / Director · (208) 999-6555
NPI enumeratedNovember 12, 2025
Last updated in NPPESFebruary 8, 2026
Certification dateFebruary 8, 2026
Mailing address106 N Latah St Unit D, Boise, ID 83706-2624

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